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pdf2022 VEGETABLE CHEMICAL USE SURVEY
OMB No. 0535-0218
Approval Expires: 11/30/2023
Project Code: 136
SurveyID: 2069
NATIONAL
AGRICULTURAL
STATISTICS
SERVICE
U.S. Department of Agriculture
National Operations Division
9700 Page Avenue, Suite 400
St. Louis, MO 63132-1547
Phone: 1-888-424-7828
Fax: 855-415-3687
Email: [email protected]
ENTERPRISE
VERSION
01
POID
___ ___ ___ ___ ___ ___ ___ ___ ___
SUBTRACT
___ ___
CONTACT RECORD
DATE
TIME
NOTES
INTRODUCTION:
[Introduced yourself, and ask for the operator. Rephrase in your own words.]
We are collecting information on chemical use and pest management practices and need your help to make the information as accurate
as possible. The information you provide will be used for statistical purposes only. Your responses will be kept confidential and any
person who willfully discloses any identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey
is conducted in accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other
applicable Federal laws. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality.
Response is voluntary.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The valid OMB control number is 0535-0218. The time required to
complete this information collection is estimated to average 60 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
We encourage you to refer to your farm records during the interview.
BEGINNING TIME [MILITARY]..................................................................................................................................................................
H H M M
004
___ ___ ___ ___
☐ Name, address, and partners verified and updated if necessary.
During the screening phase of the Vegetable Chemical Use Survey conducted in June and July, your operation was found to
be growing or intending to grow vegetables this year. I now need to verify some of the information collected during the
screening survey.
Verify operation name and operator on label and/or screener.
· If no changes, go to Section A, page 4.
· If changed, continue to Change in Operating Status on next page.
2
CHANGE IN OPERATOR STATUS
[Enumerator Note: Skip this section if there is no change in operation name or operator.]
Code
1. Has there been a change in operation name or
Yes=1 023
No=3
operator?................................................................................
[If item 1 = 1, continue
If item 1 = 3, go to Enumerator Note below.]
Operation Name_________________________________
Operator Name__________________________________
Address________________________________________
_______________________________________________
Phone (
)________________________
Check if
cell phone
[Enumerator Note: If the operation on the face page was in business part of the 2022 crop year, complete this questionnaire
for the part of the year during which the operation did business, unless the operation has been taken
over by a new operator. If the operator has changed midyear, please conduct this interview start to
finish with the new operator after reading "Valid Substitution" rules in section 4 of the Interviewer's
Manual.]
2. Has the operation printed on this questionnaire been combined or merged with any other farming operations?
1
Yes – Go to Conclusion
3
No – Continue
3
SCREENING
1. Did this operation have any of the target crops during the 2022 crop year? [See page 5 for target crops.]
Yes - Continue
No - Write notes explaining the situation then go to Conclusion on back page.
2. Are the day-to-day decisions for this operation (name on label) made by -- [Check one]
one individual? [Go to Section A]
a hired manager? [Go to Section A]
partners? [Continue]
3. How many individuals are involved in the day-to-day decisions of this operation? [Enter the number of
partners, including the partner named on the label. Identify the other persons in this partnership below,
then go to Section A. Partners jointly operate land and share in decision making. Do not include
landlords and tenants as partners......................................................................................................................
Number
4. Please identify the other person(s) in this partnership, then go to Section A. Verify partners' names and make
necessary corrections if names have already been entered.
Partners: POID ___ ___ ___ ___ ___ ___ ___ ___ ___
Partners: POID ___ ___ ___ ___ ___ ___ ___ ___ ___
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
STATE
ZIP
PHONE NUMBER
PHONE NUMBER
Check if
cell phone
phone
CITY
STATE
ZIP
PHONE NUMBER
Check if
cell phone
Partners: POID ___ ___ ___ ___ ___ ___ ___ ___ ___
POID ___ ___ ___ ___ ___ ___ ___ ___ ___
PARTNER NAME
PARTNER NAME
ADDRESS
ADDRESS
CITY
PHONE NUMBER
STATE
ZIP
PHONE NUMBER
Check if
cell phone
CITY
PHONE NUMBER
PHONE NUMBER
STATE
ZIP
Check if
cell phone
4
A
LAND OPERATED
A
Acres Operated
[Enumerator Action: If acreage on the insert is verified as correct, enter code 1 in box 801, then skip to
Section B. If acreage has changed, ask all questions.].................................................................................
801
Now I would like to ask about the total acres operated under this land arrangement.
1. How many acres does this operation--
Acres
901
+
a. own?........................................................................................................................................................
.___
902
b. rent or lease from others or use rent free? EXCLUDE land used on an animal unit month
+
(AUM) basis...............................................................................................................................................
.___
905
c. rent to others?..........................................................................................................................................
=
2. [Calculate item 1a + 1b - 1c.] Then the total acres operated are: ............................................................
.___
900
.___
a. Does this include the farmstead, all cropland, woodland, pastureland, wasteland, and government
program land?
1
Yes – [Continue]
3
No – [Make corrections, then continue.]
The remaining questions in this survey refer to these [item 2] acres.
802
3. Of the total acres operated, how many acres are considered cropland? INCLUDE land in hay,
summer fallow, cropland idle, cropland used for pasture and cropland in government programs...................
.___
803
4. Of the total acres operated, how many acres are vegetables? INCLUDE both target and non-target
vegetables planted on the operation...............................................................................................................
.___
5
TARGET CROPS & CODES
FLORIDA
MINNESOTA
PENNSYLVANIA
613 Beans, Snap
766 Corn, Sweet
613 Beans, Snap
808 Cabbage
855 Peas, Green
738 Pumpkins
766 Corn, Sweet
798 Cucumbers
NEW JERSEY
TEXAS
736 Peppers, Bell
736 Peppers, Bell
808 Cabbage
742 Squash
742 Squash
798 Cucumbers
770 Tomatoes
824 Onions
752 Watermelons
NEW YORK
613 Beans, Snap
GEORGIA
738 Pumpkins
752 Watermelons
808 Cabbage
613 Beans, Snap
766 Corn, Sweet
808 Cabbage
824 Onions
701 Asparagus
WASHINGTON
766 Corn, Sweet
738 Pumpkins
632 Carrots
798 Cucumbers
742 Squash
766 Corn, Sweet
824 Onions
824 Onions
736 Peppers, Bell
NORTH CAROLINA
742 Squash
798 Cucumbers
752 Watermelons
736 Peppers, Bell
ILLINOIS
613 Beans, Snap
855 Peas, Green
WISCONSIN
738 Pumpkins
613 Beans, Snap
742 Squash
808 Cabbage
752 Watermelons
623 Carrots
738 Pumpkins
766 Corn, Sweet
OHIO
INDIANA
738 Pumpkins
855 Peas, Green
738 Pumpkins
752 Watermelons
OREGON
MICHIGAN
798 Cucumbers
613 Beans, Snap
701 Asparagus
766 Corn, Sweet
613 Beans, Snap
824 Onions
798 Cucumbers
855 Peas, Green
742 Squash
742 Squash
6
B
VEGETABLE ACREAGE
B
Table
001
1. What target vegetable crops were on these [Section A, item 4] acres during
the 2022 crop year? EXCLUDE new plantings of vegetables not intended for
harvest in 2022.
Office Use
Lines in Table
Line 99
1
2
L
I
N
E
Crop
3
4
5
How many acres
were planted for
harvest in the 2022
crop year?
(INCLUDE 2022
acres which were
planted in other
years.)
Were any
commercial
fertilizers
applied to
this crop?
Were any
herbicides,
insecticides,
fungicides, etc.
applied to this
crop?
Crop Code
11
01
11
02
11
03
11
04
11
05
11
06
11
07
11
08
11
09
11
10
11
11
11
12
11
13
11
14
11
15
Notes:
Yes = 1
No = 3
Acres
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
Yes = 1
No = 3
199
INCLUDE
· Target Crops Only
· All acreage of target crops
for processing or fresh
market.
· All acreage equal to or
greater than one tenth of an
acre.
· All bearing acreage of target
crops for roadside stands,
farmer's markets or U-pick
sales.
12
13
12
13
12
13
12
13
12
13
12
13
12
13
· All crops grown in
greenhouses, hothouses,
and home gardens.
12
13
· Plantings of crops not
intended for harvest in 2022.
12
13
· New plantings and other
plantings which are not yet
bearing (asparagus)..
12
13
· All vegetables grown for
commercial transplanting.
12
13
· All mushrooms, potatoes,
dry beans, sweet potatoes.
12
13
· All vegetable acreage grown
for seed only.
12
13
12
13
· All vegetable acres grown
by institutional,
experimental, research and
university farms.
12
13
· Crops planted in the fall of
2021 if they were part of the
2022 crop.
· Double cropping
EXCLUDE
· All crops grown in another
state.
· Non-target vegetables.
7
8
C
FERTILIZER APPLICATIONS
C
Enumerator Note-If column 4 of the table in Section B is Yes for any crops, continue with item 1.
If column 4 of the table in Section B is No for all crops, go to Section D, page 9.
1. I need to record complete information on all commercial fertilizers applied to the
bearing acres of target fruit grown during the 2022 crop year. INCLUDE all
applications regardless of how they were applied such as irrigation water, foliar
applications, etc. Record amount of an analysis of fertilizers applied or pounds of
actual plant nutrients applied. Complete the table below and any necessary
supplemental fertilizer tables. EXCLUDE micronutrients, lime, and gypsum.
1
2
L
I
N
E
Crop
Crop Code
3
4
5
6
7
N
I
T
R
O
G
E
N
P
H
O
S
P
H
A
T
E
P
O
T
A
S
H
S
U
L
F
U
R
How much was
applied per acre
per application?
N
P2O5
K2 O
S
Office Use
200
Office Use
Lines in Table
8
Unit Codes
1 Pounds
12 Gallons
13 Quarts
15 Liquid Oz.
28 Dry Oz.
19 Actual
Nutrients
[Leave this column
blank if actual
nutrients were
reported.]
Table
001
299
9
10
How many acres How many
was this applied times was it
to? [Include
applied?
bearing acres
only]
Acres
01
31
32
33
34
36
02
31
32
33
34
36
03
31
32
33
34
36
04
31
32
33
34
36
05
31
32
33
34
36
06
31
32
33
34
36
07
31
32
33
34
36
08
31
32
33
34
36
09
31
32
33
34
36
10
31
32
33
34
36
11
31
32
33
34
36
12
31
32
33
34
36
13
31
32
33
34
36
14
31
32
33
34
36
15
31
32
33
34
36
16
31
23
33
34
36
17
31
32
33
34
36
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
Number
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
9
C
FERTILIZER APPLICATIONS
1
2
L
I
N
E
Crop
Crop Code
C
3
4
5
6
7
8
9
10
N
I
T
R
O
G
E
N
P
H
O
S
P
H
A
T
E
P
O
T
A
S
H
S
U
L
F
U
R
How much was
applied per acre
per application?
Unit Codes
How many acres
was this applied
to? [INCLUDE
bearing acres
only]
How many
times was it
applied?
N
P2O5
K2 O
S
1 Pounds
12 Gallons
13 Quarts
15 Liquid Oz.
28 Dry Oz.
19 Actual
Nutrients
[Leave this column
blank if actual
nutrients were
reported.]
Acres
18
31
32
33
34
36
19
31
32
33
34
36
20
31
32
33
34
36
21
31
32
33
34
36
22
31
32
33
34
36
23
31
32
33
34
36
24
31
32
33
34
36
25
31
32
33
34
36
26
31
32
33
34
36
27
31
32
33
34
36
28
31
32
33
34
36
29
31
32
33
34
36
30
31
32
33
34
36
31
31
32
33
34
36
32
31
32
33
34
36
33
31
23
33
34
36
34
31
32
33
34
36
35
31
32
33
34
36
36
31
32
33
34
36
37
31
32
33
34
36
38
31
32
33
34
36
39
31
32
33
34
36
40
31
32
33
34
36
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
37
40
Number
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
41
10
D
PESTICIDE APPLICATIONS
D
[Enumerator Action: If pesticides were reported in Section B, column 4, continue. Otherwise, go to Section E.]
1. Now I need to get complete information on all of the chemicals applied, including applications made by you and/or by
custom applicators during the 2022 crop year to each of the target vegetable crops you grew. Let's start with the first
application to your crop since the 2021 crop year harvest.
INCLUDE all chemical applications to the target vegetable crops. Use supplemental tables if necessary.
INCLUDE herbicides, insecticides, nematicides, miticides, fungicides, chemical thinners, growth regulators, microbial
agents, pheromones, rodenticides, and soil fumigants.
EXCLUDE seed treatments, foliar applications of nutrients, and applications made to vegetables after harvest.
Office Use
Lines in Table
1
Chemical
Product Name
2
L
I
N
E
Crop
Crop Code
3
4
What products were
applied to the [crop]?
Was this product bought
in liquid or dry form?
[Enter product code.]
[Enter L or D.]
399
Table
001
5
Was this part of a
tank mix?
[If tank mix, enter
line number of first
product in mix.]
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
[For pesticides not listed in Respondent Booklet, specify--]
Line No.
Pesticide Type
(Herbicide, Insecticide, fungicide, etc.)
Trade Name
and Formulation
Form Purchased
(Liquid or Dry)
EPA Reg. No.
11
D
PESTICIDE APPLICATIONS
D
Codes for Column 8
1 Pounds
12 Gallons
13 Quarts
14 Pints
15 Ounces, Liquid
28 Ounces, Dry
6
L
I
N
E
OR
How much was applied
per acre per
application?
7
30
40
41
46
47
50
8
What was the total
amount applied per
application?
9
[Enter
unit code
from above.]
65
65
02
65
03
65
04
65
05
65
06
65
07
65
08
65
09
65
10
65
11
65
12
65
13
65
14
65
15
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
73
73
73
73
73
73
73
73
73
73
73
73
73
73
73
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
Office Use
300
10
How many acres were
treated with this product? How many times was this
product applied?
Code
01
Grams
Kilograms
Liters
Spirals
Packets
Other (Specify:__________)
Acres
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
Number
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
79
79
79
79
79
79
79
79
79
79
79
79
79
79
79
[For pesticides not listed in Respondent Booklet, specify--]
Line No.
Pesticide Type
(Herbicide, Insecticide, fungicide, etc.)
Trade Name
and Formulation
Form Purchased
(Liquid or Dry)
EPA Reg. No.
12
D
PESTICIDE APPLICATIONS
1
Chemical
Product Name
L
I
N
E
Crop
2
Crop Code
D
3
4
What products were
applied to the [crop]?
Was this product bought
in liquid or dry form?
[Enter product code.]
[Enter L or D.]
5
Was this part of a
tank mix?
[If tank mix, enter
line number of first
product in mix.]
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
61
63
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
[For pesticides not listed in Respondent Booklet, specify--]
Line No.
Pesticide Type
(Herbicide, Insecticide, fungicide, etc.)
Trade Name
and Formulation
Form Purchased
(Liquid or Dry)
EPA Reg. No.
13
D
PESTICIDE APPLICATIONS
D
Codes for Column 8
1 Pounds
12 Gallons
13 Quarts
14 Pints
15 Ounces, Liquid
28 Ounces, Dry
6
L
I
N
E
OR
How much was applied
per acre per
application?
30
40
41
46
47
50
7
Grams
Kilograms
Liters
Spirals
Packets
Other
8
What was the total
amount applied per
application?
9
[Enter
unit code
from above.]
Code
65
16
65
17
65
18
65
19
65
20
65
21
65
22
65
23
65
24
65
25
65
26
65
27
65
28
65
29
65
30
65
31
65
32
65
33
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
73
73
73
73
73
73
73
73
73
73
73
73
73
73
73
73
73
73
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
.___ ___
11
How many acres were
treated with this product?
[Include bearing acres
only.]
How many times was this
product applied?
Bearing Acres
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
74
77
Number
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
.___
79
79
79
79
79
79
79
79
79
79
79
79
79
79
79
79
79
79
[For pesticides not listed in Respondent Booklet, specify--]
Line No.
Pesticide Type
(Herbicide, Insecticide, fungicide, etc.)
Trade Name
and Formulation
Form Purchased
(Liquid or Dry)
EPA Reg. No.
14
E
PEST MANAGEMENT PRACTICES
E
Now I have some questions about pest management practices you may have used on any of the total vegetable acres on
this operation. INCLUDE both target and non-target vegetable crops grown. By pests, we mean insects, weeds, and
diseases.
[Enumerator Action: Were pesticide applications reported in Section B, column 5 on page 5?]
Yes - Continue
No - Go to item 4
Code
1. Was weather data used to assist in determining either the need or when to make pesticide
Yes=1
applications?.........................................................................................................................................
No=3
2. Were any biological pesticides such as Bt (Bacillus thuringiensis), insect growth regulators, such
as Courier, intrepid, etc., neem or other natural/biological based products sprayed or applied to Yes=1
manage pests?.....................................................................................................................................No=3
3. Were pesticides with different mechanisms of action rotated or tank mixed for the primary
Yes=1
purpose of keeping pests from becoming resistant to pesticides?........................................................
No=3
600
601
602
1 By deliberately going to the vegetable acres
specifically for scouting activities. Enter code 1
and go to item 5.
4. In 2022, how were your vegetable acres
2 By conducting general observations while
primarily scouted for insects, weeds,
performing routine tasks. Enter code 2 and go to
diseases and/or beneficial organisms?................. item 7.
Code
608
...........
3 The vegetable acres were not scouted. Enter
code 3 and go to item 10.
Code
5. Was an established scouting process used such as systemic sampling, recording counts, insect Yes=1
traps, etc., on any vegetable acres?.....................................................................................................
No=3
609
6. Was scouting for pests done on these vegetable acres due to--
Code
Yes=1
610
a. a pest advisory warning?......................................................................................................................
No=3
Yes=1
611
b. a pest development model?..................................................................................................................
No=3
1
2
[If column 1 = Yes, ask--]
Who did the majority of the scouting for [column 1]?
7. Were your vegetable acres scouted for -Yes = 1
No = 3
1
2
3
4
5
6
Code
612
614
615
617
618
620
a. weeds?..................................................................
b. insects or mites?....................................................
c. disease?................................................................
Operator, partner or family member
An employee
Farm supply or chemical dealer
Independent crop consultant or commercial scout
Processor
Other: (specify:________________________________)
15
E
PEST MANAGEMENT PRACTICES
E
Code
8. Were written or electronic records kept to track the activity or numbers of weeds, insects or
Yes=1
diseases?............................................................................................................................................No=3
623
9. Was scouting data compared to published information on infestation thresholds to determine
Yes=1
when to take measures to manage pests?..........................................................................................No=3
624
Yes=1 625
10. Was field mapping data used for making pest management decisions?.............................................No=3
11. Were the services of a diagnostic laboratory used for pest identification or soil or plant tissue
Yes=1
pest analysis?......................................................................................................................................No=3
626
Yes=1 627
12. Were crop residues plowed down or removed to manage pests?.......................................................No=3
Yes=1 628
13. Were crops rotated during the past three years for the purpose of managing pests?.........................No=3
Yes=1 629
14. Were ground covers, mulches, or other physical barriers maintained to manage pest problems?......No=3
Yes=1 630
15. Was a crop variety chosen because it had resistance to a specific pest?...........................................No=3
Yes=1 631
16. Was no-till or minimum till used to manage pests?..............................................................................No=3
Yes=1 632
17. Were planting locations planned to avoid infestation of pests?...........................................................No=3
Yes=1 633
18. Were planting or harvesting dates adjusted to manage pests?...........................................................No=3
Yes=1 634
19. Were row spacing or plant density adjusted to manage pests?...........................................................No=3
Yes=1 635
20. Was a trap crop grown to help manage insects?.................................................................................No=3
21. Were any beneficial organisms such as insects, nematodes, or fungi applied or released to
manage pests?
Yes=1
No=3
22. Were floral lures, attractant repellants, pheromone traps or other biological pest controls used
Yes=1
on any vegetable acres?.....................................................................................................................No=3
636
637
Yes=1 640
23. Were any vegetable acres cultivated for weed control during the growing season?............................No=3
24. Were field edges, lanes, ditches, roadways or fence lines chopped, mowed, plowed, or burned
Yes=1
to manage pests on any vegetable acres?..........................................................................................No=3
642
25. Were equipment and implements cleaned after completing field work to reduce the spread of
Yes=1
pests?..................................................................................................................................................No=3
643
Yes=1 644
26. Were any vegetable acres irrigated for the 2022 crop?.......................................................................No=3
[If item 26 = Yes, ask--]
Yes=1
a. Were water management practices, excluding chemigation, such as irrigation scheduling,
No=3
controlled drainage, or treatment of retention water used to manage pests?......................................
COMPLETION CODE for
PESTICIDE APPLICATIONS
1 Incomp/R
3 Valid Zero
300
645
COMPLETION CODE for PEST
MANAGEMENT PRACTICES
1 Incomp/R
500
16
CONCLUSION
1. To receive the complete results of this survey on the release date, go to
https://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/
To have a summary emailed to you at a later date, please enter
your email address.
1095
[Thank the respondent, then review this questionnaire.]
H
H
M
M
0005
___ ___ ___ ___
Ending time [Military].........................................................................................................................................
Office Use
Time in Hours
006
.___
Record Use
Code
064
Yes=1
No=3
Did respondent use operation records to report pesticide data?
Supplement Use
[Record the total number of supplements used to complete this interview.]
Number
068
Pesticide Supplements..............................................................................................................................
Contact Information
Operation Email: (if different from above)
Operation Phone:
9937
9936
(
) - ________________________
Respondent Name:
Respondent Phone: (if different from above)
9912
9911
(
) - __________________
check if 9910
cell phone
Date:
check if
cell phone
MM
DD
YYYY
__ __
__ __
__ __ __ __
OFFICE USE
R. Unit
9921
Ptr 1 Str
9922
Response
1-Comp
2-R
3-Inac
4-Office Hold
Ptr 2 Str
9923
Ptr 3 Str
9927
Respondent
9901
1-Op/Mgr
2-Spouse
3-Acct/Bkpr
4-Partner
9-Other
9902
Ptr 4 Str
9928
OPS
923
Mode
2-PATI (tel)
3-PAPI (Face-toFace)
SSO 1
9907
ADJ
922
Enum.
9903
9998
Optional Use
9906
9916
POID
9989
___ ___ ___ ___ ___ ___ ___ ___ ___
Eval.
9900
Change
9985
| File Type | application/pdf |
| Author | Nannapaneni, Vamsikrishna - REE-NASS, Washington, DC |
| File Modified | 2022-07-13 |
| File Created | 2022-07-13 |